Certification Labels and the Federal Specification for the Star-of-Life Ambulance · 2019. 3....
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Certification Labels and the Federal Specification for the Star-of-Life Ambulance Presented by: John McDonald [email protected]
Transcript of Certification Labels and the Federal Specification for the Star-of-Life Ambulance · 2019. 3....
Certification Labels
and the Federal Specification for
the Star-of-Life Ambulance
Presented by: John McDonald
Why Is He Here?
• There was an article in 2013 that said “K” was gone
• I heard “K” was “Sunseted” in 2015
• I Just read an article that said, “The KKK standard has
since been replaced by two new standards”
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Why Was “K” Developed?
• DOT requested it in 1972
• It was estimated that there were 28,000 ambulances in service
• 1,200 were Federally owned
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How Long Has the “K” Std been around?
• Over 40 Years
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When did the first “K” Standard go into
effect?
• 2 January 1974
• Covered Types I, II & III
• 1,000 lb. Payload
• Gasoline Engines
• Requires Squad Bench
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How About Revision A?
• 1 April 1980
• Dual Rear Wheels 1,500 lb. Payload
• Diesel Engine becomes an Option
• 11 Light System
• Orange Band
• Wiring Diagram
• AMD Stds. 1-6
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And Revision B ??
• 1 June 1985
• New Flash Pattern
• Interior Cabinet
Figures
• 4X4s
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What changed in Revision C?
• 1 January 1990
• I & III Single Rears 1,200
lb. Payload
• 1,700 lb, payload for II’s
• Duals go to 1,750 lb.
• Workmanship section
expanded
• 14 Light System
• AMD Std 7-9
• ALS/BLS
• Max Load Heights
• Diesel becomes Std.
• Payload Sticker
• Notes, Notices &
Warnings
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And Revision D??
• 1 January 1994
• Metrification
• I & III Single Rears
1,500 lb. Payload
• Color Printing
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How about Revision E?
• 1 June 2002
• Adds “AD” units
• Portable Equipment Charging Circuits
• Revised Electrical Diagram
• AMD 10-15
• Available as PDF file
• 3 Change Notices issued
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AMD Standardized Test methodsRevision A (1980)
• 001 - AMBULANCE BODY STRUCTURE STATIC LOAD TEST
• 002 - BODY DOOR RETENTION COMPONENTS TEST
• 003 - OXYGEN TANK RETENTION SYSTEM STATIC TEST
• 004 - LITTER RETENTION SYSTEM STATIC TEST
• 005 - 12-VOLT DC ELECTRICAL SYSTEM TEST
• 006 - PATIENT COMPARTMENT SOUND LEVEL TEST
Revision C (1990)
• 007 - PATIENT COMPARTMENT CARBON MONOXIDE LEVEL TEST
• 008 - PATIENT COMPARTMENT GRAB RAIL STATIC LOAD TEST
• 009 - 125-VOLT AC ELECTRICAL SYSTEMS TEST
Revision E (2002)
• 010 - WATER SPRAY TEST
• 011 - EQUIPMENT TEMPERATURE TEST
• 012 - INTERIOR CLIMATE CONTROL TEST
• 013 - WEIGHT DISTRIBUTION GUIDELINES
• 014 - ENGINE COOLING SYSTEM TEST
• 015 - AMBULANCE MAIN OXYGEN SYSTEM TEST 5/21/2018
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Revision F• AMD 16-26
• Revised Format
– Minimum Requirements
– Optional Configurations
• Increased seat overhead
clearance to 43”
• Removed requirement for Squad
Bench
• Initial testing and inspections
required for certification shall be
performed by a nationally
recognized independent testing
facility
• 9 Change Notices issued
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NHTSA
• 2007 - Requires Door Hardware on
Ambulances to be compliant with:– 49 CFR 571.206 - STANDARD NO. 206; DOOR LOCKS AND DOOR
RETENTION COMPONENTS.
• 2008 - Requires Seats, Belts and Anchorages
on Ambulances to be compliant with:– 49 CFR 571.207 - Standard No. 207; Seating systems and 49 CFR
571.210 - Standard No. 210; Seat belt assembly anchorages
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CN7 29 January 2015
• Cumulative, replaces CN’s 1-6
• Contains references to NIST research
• Occupant weight goes to 175 lbs.
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CN 8 1 July 2015
• Incorporates SAE J3026 Ambulance Patient Compartment Seating Integrity and Occupant Restraint
• Incorporates SAE J3027 Ambulance Litter Integrity, Retention, and Patient Restraint
• Incorporates NIST Guidebook– http://www.firstresponder.gov/TechnologyDocuments/Amb
ulance%20Patient%20Compartment%20Human%20Factors%20Design%20Guidebook.pdf
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Testing Criteria – Frontal & Side Impact
SAE J2917- Ambulance Patient
Compartment Frontal HYGE Sled
Pulse, Pub. May 2010
SAE J2956- Ambulance Patient
Compartment Lateral HYGE Sled
Pulse, Pub. June 20115/21/2018 17
Frontal Impact – 3 Conducted
Matches Federal Standard
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Side Impact – 4 Conducted
Matches IIHS Side Impact Test
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Rear Impact – 2 Tests Measured Vehicle Response at
Impact
• Both tests utilized the IIHS moving deformable barrier
– IIHS MDB weight was 1,500 kg or 3,300 lbs.
– Impact velocity 50 kph or 31 mph
– Vehicle instrumentation package described in SAE 2007-01-4267
– E350 Type II weighed 8,840 lbs. while the E350 Type III weighed 9,975
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Occupant Excursion Concerns
Standard Gurney – 30 mph Impact
Pre-crash event:
standard cot,
restraint and antler
floor fastener
Mid-crash event:
patient excursion
exceeds 30 inches
or 76 cm
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Demo: Frontal Impact,
Forward and Rear Facing Seating
Testing provides data on ATD response under dynamic crash
loading – ATD measured values must fall below fed limits5/21/2018 22
SAE J3026: Seat and Worker Restraint
Publication Date: Sept 2014
Key Elements in
Recommended Practice
• Dynamic, crash testing is
required
• Seat and restraint systems
must protect occupants to
same crash standards as
automotive seating
• Utilizes H-III and ES2-re
50th male ATD as
appropriate.
• ATD measured values
must fall below federal
limits for injury tolerance
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CN 9 1 July 2016
• Incorporates SAE J3043 Ambulance
Equipment Mounts
• Limited to installed Oxygen cylinder, cardiac
monitor, and fire extinguisher mounting
devices
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Equipment Mount Test Standard:
Dynamic Test Option
Equipment
Mount
Dynamic Test
Standard
Utilizes Front
and Side
Impact Pulses
Orientation
defined by
Manufacturer Sled test fixture replicating side and rear
wall installations of oxygen cylinder and
mount – successfully tested to SAE J2917
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Equipment Mount Integrity
Pre- and Post-Crash
Post crash (rollover) equipment and
gurney positions drastically changed
Prior to crash equipment and gurney
either mounted or stowed in cabinets
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Change Notice 10
• J3058 Cabinet Testing
• J3057 Modular Body Integrity
• J3102 Litter Subfloor Test
• J3059 Occupant Excursion
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Side Impact
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Roof Loading
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J3058 Compliant Cabinets
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J3058 Compliant Cabinets
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Seating and Restraint Data Sheet
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SAE Standards Landscape
Bumper
To
Bumper
Standards
GSA KKK-A-1822
NFPA 1917
CAAS GVS-v.1.0
Side Impact:
SAE J2956
Occupant Seating
SAE J3026
Litter Std.
SAE J3027
Equipment Mounts
SAE J3043
Modular Body
Integrity
SAE J3057Interior Surface
Delethalization
Frontal Impact:
SAE J2917
Occupant Excursion
SAE J3059
Cabinet Testing
SAE J3058
Rear Impact:
SAE J3044
Litter Sub-Floor Test
SAE J3102
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SAE J2917SAE J2956SAE J3044
SAE J3058
SAE
J3059
SAE J3012
SAE J3027
SAE
J3043
SAE J3057
SAE Documents –
SAE J3026
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Tests Required as of 1 July 17 2017
AMD• AMD 001 Body Structure Test - 2014. (type II only)
• AMD 002 Reserved
• AMD 003 Oxygen Tank Retention System Static Test -2014
• AMD 004 Litter Retention System Static Test - 2014
• AMD 005 Low Voltage Electrical System Test- 2014.
• AMD 006 Patient Compartment Sound Level Test- 2014.
• AMD 007 Patient Compartment Carbon Monoxide Level Test - 2014
• AMD 008 Patient Compartment Handrail Static Load Test-2014.
• AMD 009 125V AC Electrical Systems Test- 2014.
• AMD 010 Water Leak Test - 2014.
• AMD 011 Equipment Temperature Test - 2014.
• AMD 012 Interior Climate Control Test- 2014.
• AMD 013 Weight Distribution Guidelines - 2014.
• AMD 014 Engine Cooling System Test - 2014
• AMD 015 Ambulance Main Medical Gas System Test-2014.
• AMD 016 Patient Compartment Lighting Level Test- 2014.
• AMD 017 Road Test - 2014.
• AMD 018 Rear Stepping Surface Load Test- 2014.
• AMD 019 Measuring Guidelines: Cabinets & Compartments – 2014
• AMD 020 Floor Distributed Load Test - 2014
• AMD 021 Aspirator System Test- 2014.
• AMD 022 Cold Engine Start Test - 2014
• AMD 023 Siren Performance Test - 2014
• AMD 024 Perimeter Illumination Test- 2014
• AMD 025 Occupant Head Clearance Zones Test - 2014
• AMD 026 Ambulance Emergency Lighting System Configuration - 2014
SAE
• SAE J3057 Ambulance Modular Body Evaluation-
Quasi-Static Loading For Type I and Type III Modular
Ambulance Bodies
• SAE J3058 Ambulance Interior Storage Compartment
Integrity
• SAE J3059 Ambulance Patient Compartment Seated
Occupant Excursion Zone Evaluation
• SAE J3102 Ambulance Patient Compartment
Structural Integrity Test to Support SAE J3027
Compliant Litter Systems
• SAE J3043 Ambulance Equipment Mounts
• SAE J3026 Ambulance Patient Compartment Seating
Integrity and Occupant Restraint
• SAE J3027 Ambulance Litter Integrity, Retention, and
Patient Restraint
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Can I get an ambulance with no cot ?
• Cots are not required for K Certification
• A complete litter fastener assembly is
required
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The “K” Sticker
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CERTIFIED “STAR OF LIFE” AMBULANCE
Date of Manufacture ______________________________________________________
Mfg By:_________________________________________________________________
This Ambulance confirms to Federal Specification KKK-A-1822 In effect on the date the
ambulance was contracted for.
Exceptions taken? NO _______________ YES _______________
If exceptions are taken, they must be listed in the handbook of instruction and identified
by Section number.
Final Stage Ambulance Manufacturers ID Number _______________________________
VIN ___________________________________________________________________
OEM Chassis Model, Year of Manufacture _____________________________________
Vehicle Type ____________________________________________________________
NOTICE: THIS VEHICLE, AS MANUFACTURED, CONFORMS TO THE PAYLOAD
REQUIREMENTS OF THE FEDERAL AMBULANCE SPECIFICATION KKK-A-1822.
USERS SHALL NOT LOAD VEHICLES ABOVE THE GVWR, GAWRS OR EXCEED THE
TOTAL USABLE PAYLOAD OR CAPACITY LISTED BELOW.
K Sticker
“My ambulance just failed
inspection. They said I need a new
K sticker. I need you to send me
one right away”
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Where does the Federal
Government say I have to have
a “K” sticker?
• It doesn’t
• There is no Federal law requiring “K” stickers
• However, some States do require
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What is the future of K?
• Will be updated to take advantage of new
technologies
• Will be updated to take advantage of proven
safety upgrades
• Will be updated to take advantage of new
dynamic and static test methods
• States still mandate the use of K for State
certification
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Remounts
• Before the decision is made to remount, the
condition and suitability of the module for remount
should be determined
• The benefits of remounting should be considered
with respect to patient and care provider safety
• To what standard will the remount be required to
comply with?
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Who Regulates Remounts?
• Federal Government?
• States?
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THEY BOTH DO!
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Federal Regulations come from NHTSA
49 U.S.C. 30115 requires a motor vehicle to be
certified to the FMVSS by permanently affixing a
tag or label to the vehicle by the time of its
delivery to a distributor or dealer.
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Is an Ambulance Body Remounter a
Manufacturer?
• Yes. NHTSA’s regulations at 49 CFR 571.7(e) provide that
when a new cab is used in the assembly of a truck, the truck
will be considered newly manufactured for the purpose of
applying the National Traffic and Motor Vehicle Safety Act of
1966 and the Federal motor vehicle safety standards unless
the engine, transmission, and drive axle(s) (as a minimum) of
the assembled vehicle are not new, and at lest two of these
components were taken from the same vehicle.
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What kind of a manufacturer is an
ambulance body remounter?
• An ambulance body remounter is a Final-Stage Manufacturer.
• NHTSA’s regulations at 49 CFR 567.3 define a “chassis-cab” as an incomplete vehicle with a completed occupant compartment that requires only the addition of cargo-carrying, work-performing, or load-bearing components to perform its intended function.
• The same regulations define a “final-stage manufacturer” as a person who performs such manufacturing operations on an incomplete vehicle that it becomes a completed vehicle.
• A “completed vehicle” is defined as a vehicle that requires no further manufacturing operations to perform its intended function
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Must an ambulance body remounter affix a
certification label to the completed
vehicle?
• Yes. As a final stage manufacturer, an ambulance body remounter must affix a certification label to each vehicle in a manner that does not obscure the labels affixed by previous stage manufacturers
• This is NOT a K label
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Certification Label
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Penalties
• If the manufacturer fails to demonstrate that it exercised “reasonable care” in certifying the vehicle or equipment item to the standard in question, it is subject to civil penalties
• Penalties are currently set at $21,000 per violation, up to a maximum penalty of $105,000,000 for a related series of violations
• A separate violation exists with respect to each vehicle or equipment item that does not comply
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State Regulations
• Determined by each state
– Some have none
– Some use K
– Some use NFPA
– Some use CAAS
– Some use 2 or all 3
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1.1.3 “STAR OF LIFE” CERTIFICATION.
The final stage ambulance manufacturer (FSAM) shall furnish to a purchaser an
authenticated certification and label stating that the ambulance and equipment comply
with this specification and applicable change notices in effect on the
date the ambulance is contracted for.
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Who provides the “K” sticker?
• The final stage ambulance manufacturer
(FSAM) shall furnish to a purchaser an
authenticated certification and label stating
that the ambulance and equipment comply
with this specification and applicable
change notices in effect on the date the
ambulance is contracted for.
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FIGURE 1 – Certification & Payload
SignageThe label shall be mounted on the body (module) interior in a conspicuous location.
• The label shown here is suggested format.
• Deviations in dimensions are acceptable.
• All text must be included.
• Exceptions, when taken, shall be documented in the handbook of instructions
• No text shall be added to this label
• CERTIFIED “STAR OF LIFE” AMBULANCE
• Date of
• Manufacture________________________________________________________________
• Mfg By
• ____________________________________________________________________________
• Address
• ___________________________________________________________________________
• City_________________________________ __________State________Zip ______________
• This ambulance conforms to Federal Specification KKK-A-1822 in effect on the date the
• ambulance was contracted for
• Exceptions taken? No_____ Yes_____
• If exceptions are taken, they must be listed in the handbook of instructions and identified by
• Section Number
• Final Stage Ambulance Manufacturers ID
• Number__________________________________________________________
• VIN
• _____________________________________________________________________________
• OEM Chassis Model, Year of Manufacture __________________________________________
• Vehicle Type ________________________________________________________________• NOTICE: THIS VEHICLE, AS MANUFACTURED, CONFORMS TO THE PAYLOAD
• REQUIREMENTS OF THE FEDERAL AMBULANCE SPECIFICATION KKK-A-1822. USERS
• SHALL NOT LOAD VEHICLES ABOVE THE GVWR, GAWRs OR EXCEED THE TOTAL
• USABLE PAYLOAD OR CAPACITY LISTED BELOW.
• TOTAL USABLE CARGO/EQUIPMENT CAPACITY ___________________lbs.
• (Total remaining weight capacity of equipment and cargo evenly distributed in interior and exterior
• compartments the user may add)
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Tests Required as of 1 July 17 2017
AMD• AMD 001 Body Structure Test - 2014. (type II only)
• AMD 002 Reserved
• AMD 003 Oxygen Tank Retention System Static Test -2014
• AMD 004 Litter Retention System Static Test - 2014
• AMD 005 Low Voltage Electrical System Test- 2014.
• AMD 006 Patient Compartment Sound Level Test- 2014.
• AMD 007 Patient Compartment Carbon Monoxide Level Test - 2014
• AMD 008 Patient Compartment Handrail Static Load Test-2014.
• AMD 009 125V AC Electrical Systems Test- 2014.
• AMD 010 Water Leak Test - 2014.
• AMD 011 Equipment Temperature Test - 2014.
• AMD 012 Interior Climate Control Test- 2014.
• AMD 013 Weight Distribution Guidelines - 2014.
• AMD 014 Engine Cooling System Test - 2014
• AMD 015 Ambulance Main Medical Gas System Test-2014.
• AMD 016 Patient Compartment Lighting Level Test- 2014.
• AMD 017 Road Test - 2014.
• AMD 018 Rear Stepping Surface Load Test- 2014.
• AMD 019 Measuring Guidelines: Cabinets & Compartments – 2014
• AMD 020 Floor Distributed Load Test - 2014
• AMD 021 Aspirator System Test- 2014.
• AMD 022 Cold Engine Start Test - 2014
• AMD 023 Siren Performance Test - 2014
• AMD 024 Perimeter Illumination Test- 2014
• AMD 025 Occupant Head Clearance Zones Test - 2014
• AMD 026 Ambulance Emergency Lighting System Configuration - 2014
SAE
• SAE J3057 Ambulance Modular Body Evaluation-
Quasi-Static Loading For Type I and Type III Modular
Ambulance Bodies
• SAE J3058 Ambulance Interior Storage Compartment
Integrity
• SAE J3059 Ambulance Patient Compartment Seated
Occupant Excursion Zone Evaluation
• SAE J3102 Ambulance Patient Compartment
Structural Integrity Test to Support SAE J3027
Compliant Litter Systems
• SAE J3043 Ambulance Equipment Mounts
• SAE J3026 Ambulance Patient Compartment Seating
Integrity and Occupant Restraint
• SAE J3027 Ambulance Litter Integrity, Retention, and
Patient Restraint
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Other Considerations
• State Acceptance of remounts
– States determine what standards the Module
must meet
• Remounter Qualifications
– Chassis Manufacturer approved
– ASE/EVT technicians
– NHTSA Registered as final stage manufacturer
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Cost Analysis
• New vs Remount
• Loss of use
• Warranties
• Insurance Costs
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Who Regulates Ambulances in Your
State?
� Not GSA
� Not NFPA
� Not ASTM
� Not CAAS
�Not DOT
�Not NHTSA
� Your State EMS Director
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What Does My State Require?
• Different in each state
• Contact your state EMS Director BEFORE
you sign a contract, not after the ambulance is delivered
• http://www.nasemso.org/Projects/AgencyAndVehicleLicensure/documents/KKKRegulationMap_Final.pdf
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